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Understanding Major Horse Nerves: Anatomy, Function, and Signs of Impingement

  • Writer: Loz
    Loz
  • Oct 3
  • 3 min read

A Practical Guide for Horse Owners

The nervous system plays a vital role in a horse’s overall health, movement, and behaviour. Recognising the major nerves and understanding how they connect to different regions of the equine body can help owners identify potential issues early and seek appropriate care. This blog post provides an overview of the key nerves in horses, their anatomical pathways, and practical advice for spotting nerve impingement, including specific signs such as head bobbing.


Major Horse Nerves and Their Pathways



Horses have a complex network of nerves, but several stand out due to their influence on movement and sensation. Below are the major nerves, their anatomical routes, and the areas they serve:


  • Facial Nerve (Cranial Nerve VII): This nerve exits the skull behind the ear and branches across the face, controlling facial expressions, eyelid movement, and sensation in the muzzle and lips.

  • Trigeminal Nerve (Cranial Nerve V): Responsible for sensation in the face, jaw, and teeth. It splits into three branches: ophthalmic (upper face), maxillary (upper jaw), and mandibular (lower jaw).

  • Brachial Plexus: A network of nerves originating from the lower neck vertebrae (C6-T2), supplying the forelimbs. Key nerves here include the radial, median, and ulnar nerves, which control limb movement and sensation.

  • Phrenic Nerve: Emerging from the cervical spine (C5-C7), this nerve controls the diaphragm, and thus breathing. Its impingement can lead to abnormal head movements (head bobs), laboured breathing, or reduced exercise tolerance.

  • Sciatic Nerve: Running down the hindquarters from the pelvis, the sciatic nerve powers the hindlimbs. Damage or irritation can cause lameness, muscle wasting, or stumbling.

  • Femoral Nerve: Originating in the lumbar spine, it supplies the inner thigh and lower leg, assisting in hip flexion and stifle extension.

  • Caudal Nerves: These nerves run to the tail, controlling movement and sensation in the tail and perineal region.



Recognising Nerve Impingement in Horses

Nerve impingement—where a nerve is compressed or irritated—can cause a variety of clinical signs depending on the nerve affected. Recognising these signs early is crucial for prompt veterinary intervention.


  • Facial and Trigeminal Nerves: Watch for drooping eyelids, asymmetric facial expressions, difficulty chewing, or sensitivity around the muzzle.

  • Brachial Plexus: Impingement may result in forelimb lameness, knuckling over, or muscle wastage in the shoulder area.

  • Phrenic Nerve: Horses may exhibit head bobbing, especially during exercise, as well as laboured breathing or coughing. The head bob is an attempt to relieve diaphragm tension or discomfort caused by nerve irritation.

  • Sciatic and Femoral Nerves: Watch for hindlimb weakness, stumbling, abnormal gait, or inability to bear weight.

  • Caudal Nerves: Signs include tail paralysis, abnormal tail carriage, or loss of sensation around the tail and anus.


Additional general signs of nerve impingement include unexplained lameness, muscle atrophy, changes in posture, and behavioural changes such as irritability or reluctance to move.


VTE 2.2 Anderson Cranial Nerve Signs and their Skeletal Origins
VTE 2.2 Anderson Cranial Nerve Signs and their Skeletal Origins
Cervical Regions of the Horse
Cervical Regions of the Horse
Cervical, Thoracic and Sacral Skeletal Regions of the Horse
Cervical, Thoracic and Sacral Skeletal Regions of the Horse
Identify the skeletal components of the Horse
Identify the skeletal components of the Horse

What Horse Owners Can Do

Early identification of nerve issues is key to successful management. Horse owners should regularly observe their horses for changes in movement, posture, and behaviour. If you suspect nerve impingement—such as noticing head bobbing when exercising or any of the signs above—consult your veterinarian promptly. Diagnosis may involve physical exams, nerve blocks, imaging (such as x-rays), and assessment of the horse’s history.


Preventive care, including regular chiropractic/bodyworker or physiotherapy assessments, proper saddle fit, attentive management during exercise (particularly correct and quality in-hand/groundwork), and avoiding repetitive strain, can help minimise the risk of nerve injuries.


Take a look at how to identify horse coaches that can help with specific rehabilitation here. Or for Canberra-region specific coaches, there is a list here.


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Conclusion

Understanding the major nerves in horses and their anatomical connections helps owners recognise potential problems and seek help early. By paying attention to clinical signs and using visual resources such as anatomical diagrams, you can better support your horse’s health and wellbeing.

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